Individual
TARYN MICHELLE DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
234 NELLIEFIELD CREEK DR, CHARLESTON, SC 29492-8313
(843) 437-0258
Mailing address
234 NELLIEFIELD CREEK DR, CHARLESTON, SC 29492-8313
(843) 437-0258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9289
TN
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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